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Barrasso, Tester, Daines, Hickenlooper Push Biden Admin to Deal with Rural Nursing Residence Staffing Shortages

CASPER, Wyo. (Press launch) – US Senators John Barrasso (R-Wyo.), Jon Tester (D-Mont.), Steve Daines (R-Mont.), John Hickenlooper (D-Colo.), and colleagues at the moment despatched a letter to Facilities for Medicare & Medicaid Companies (CMS) Administrator Chiquita Brooks-LaSure expressing issues about CMS’ intent to concern extra staffing mandates for nursing properties.

Within the letter, the senators discourage CMS from taking a “one-size-fits-all” method and as an alternative tackle the numerous workforce shortages affecting rural America.

“We concern a one-size-fits-all staffing mandate would undermine entry to look after sufferers, significantly in rural communities,” the senators wrote. “As an alternative, we urge you to work with Congress and rural stakeholders on tailor-made options that tackle the extreme workforce challenges in our states’ underserved areas.”

“Going ahead, we acknowledge CMS as an important associate in figuring out, mitigating, and stopping future well being and security issues in nursing properties,” the letter continued. “We stand able to work along with your company on proposals to enhance long-term look after sufferers. The easiest way to perform this objective is working with Congress and stakeholders to make sure any future actions don’t additional exacerbate the intense challenges already dealing with services in rural America.”

The letter was additionally signed by Senators John Thune (RS.D.), Gary Peters (D-Mich.), Kevin Cramer (RN.D.), Joe Manchin (DW.Va.), Deb Fischer (R-Neb. ), Kyrsten Sinema (D-Ariz.), John Hoeven (RN.D.), Cynthia Lummis (R-Wyo.), and Mike Rounds (RS.D.).

“I am grateful for this bipartisan effort to push again on extra burden and complicated guidelines for Wyoming nursing properties. Nursing properties throughout the state are already battling staffing shortages, and additional prescribed staffing ranges would put many of those vital nursing properties in monetary jeopardy. If extra staffing necessities are carried out, we may see the closure of many rural nursing properties, leaving weak sufferers and huge geographical areas with out much-need providers. I am grateful to Senator Barrasso for his management on this concern.” – Eric Boley, President, Main Age Wyoming

Pricey Administrator Brooks-LaSure,

We write to specific our issues relating to the Facilities for Medicare and Medicaid Companies’ (CMS) intent to concern staffing mandates for nursing properties.

Such as you, we perceive the significance of making certain beneficiaries of federal well being care packages have entry to protected and high-quality nursing care. Nevertheless, we concern a one-size-fits-all staffing mandate would undermine entry to look after sufferers, significantly in rural communities. As an alternative, we urge you to work with Congress and rural stakeholders on tailor-made options that tackle the extreme workforce challenges in our states’ underserved areas.

Whereas we assist evidence-based insurance policies to enhance beneficiary care in nursing properties, staffing mandates aren’t the one resolution. First, sweeping staffing mandates don’t account for particular person services’ operational capabilities and native workforce circumstances. For instance, minimal staffing requirements that set up strict staff-to-patient ratios and/or minimal hours per resident day necessities could not replicate optimum staffing ranges given variations in sufferers’ wants and underlying circumstances, in addition to the talents of the personnel at- hand.

Moreover, blanket staffing requirements could not present sufficient flexibility to nursing properties in mild of well-known and long-standing obstacles to the recruitment and retention of direct care employees, particularly in rural and underserved areas. This problem is exacerbated by the truth that the well being care sector is projected to have a scarcity of nurses (10 to twenty% primarily based on a spring 2022 estimate) within the coming years.

Lastly, assembly staffing mandates will place nursing properties in monetary jeopardy. This might result in the shuttering of services, particularly in rural communities. There isn’t a query such a state of affairs would solely quantity to a counterproductive regulatory atmosphere that leaves weak sufferers and their households with far much less entry to care.

Going ahead, we acknowledge CMS as an important associate in figuring out, mitigating, and stopping future well being and security issues in nursing properties. We stand able to work along with your company on proposals to enhance long-term look after sufferers. The easiest way to perform this objective is working with Congress and stakeholders to make sure any future actions don’t additional exacerbate the intense challenges already dealing with services in rural America.

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